Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT
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Transcript of Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT
![Page 1: Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT](https://reader033.fdocuments.us/reader033/viewer/2022051515/555e668fd8b42a71048b4ada/html5/thumbnails/1.jpg)
RadioGraphics 2006; 26:1119–1131
Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT
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Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT
Findings Specific to Bowel InjuryBowel Wall DiscontinuityExtraluminal Contrast MaterialExtraluminal Air
Findings Less Specific to Bowel InjuryBowel Wall ThickeningAbnormal Bowel Wall EnhancementMesenteric Features
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hypervascular thickened jejunum with a suspicious defect
extraluminal air
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free air
free oral contrast material
Traumatic devascularization of the left kidney
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Traumatic devascularization of the left kidney
thickened wall of the transverse colon with decreased enhancement
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intraperitoneal areas of free contrast material
free air
intraperitoneal areas of free contrast material
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retroperitoneal area of extraluminal contrast enhancement
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thickening of the wall of the ascending colon with adjacent fat stranding
free air hematoma of the right oblique internus muscle
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retroperitoneal air
pericecal fat stranding and thickening of lateroconal fascia
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air in SMV
contrast enhancement of the duodenal diverticulum
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decreased enhancement of small bowel
free fluid
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mesenteric fat stranding
subcutaneous emphysema extending to the extraperitoneal space producing pseudopneumoperitoneum
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Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT
Findings Specific to Mesenteric InjuryMesenteric ExtravasationMesenteric Vascular BeadingTermination of Mesenteric Vessels
Less Specific FindingsMesenteric InfiltrationMesenteric HematomaBowel Features
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thickening of the intestinal wall
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thickened cecal wall
posterior abdominal wall tear
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thickened cecal wall
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shock bowel
without flattening of IVC
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high-attenuation foci of intraperitoneal fluid
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hypervascular thickened jejunal loops
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shock bowel
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hypervascular thickened segments of small bowel
abdominal wall tear
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mesenteric fat stranding
hypervascular thickened segments of small bowel
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unenhanced small-bowel loops
hypervascular thickened segments of small bowel
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defect in the proximal jejunum
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mesenteric hematoma
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bowel infarct
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mesenteric extravasation thickening and hypervascularity of proximal jejunum
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mesenteric hematoma
thickening and hypervascularity of proximal jejunum
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mesenteric vessels injury
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mesenteric vessels injury
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lesser sac stranding
abrupt termination of left gastric artery
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mesenteric hematoma
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abrupt termination of SMV
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hematoma
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Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT
Common Features in Bowel and Mesenteric InjuriesIntraperitoneal and Retroperitoneal FluidAbdominal Wall Injury
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retroperitoneal hematoma
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omental fat stranding
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abdominal wall tear
mesenteric hematoma
normal appearance of the sigmoid colon